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Or am I expecting too much here?
You are. Hence why it's considered poor form for a world leader to mislead on public health.
See also Jair Bolsanaro claiming that he'd not be badly affected by Coronavirus if he got it because he was an athlete in his 20s.
Edit: And Jacob Zuma claiming that he thought he couldn't catch HIV by having unprotected sex if he had a shower afterwards.
Stonehedge
Is it really so unrealistic to expect a certain amount of caution from people when something like a strong medicine is involved? Even leaving out the guy who drank aquarium cleaner, which, sorry, is just a stupid act no matter how you look at it, I don't really see why someone would feel compelled to self-medicate on something without any medical guidance because there are hopes that it might turn out to work (and those hopes actually exist, or at least did, for once Trump wasn't completely making it up). Especially as, from what I gather, this wasn't a case of "I'm literally dying and desperate to try whatever I can".
Or am I expecting too much here?
I'd still never argue that Trump went about this in any kind of responsible or cautious way, but isn't it in itself a very American attitude to fully put the onus on whoever failed to list all of the things you shouldn't do, "don't dry your dog in the microwave" style, rather than saying that 'the average person' should realise this is not a good idea?